Glucose Issues

Posted by packh1 @packh1, Jul 26 10:52am

I am enjoying reading posts from everyone on various issue. Just wondering if anyone can relate to my problem. I have had prediabetic A1C results for several years. My GP has never been concerned and neither have I.4 months ago I was put on metoprolol, Jardiance and spironolactone for VTACH .My fasting glucose level skyrocketed and my A1C went form low 6 (6.1,6.2) to 6.8.This is in the 4 month period of being on these drugs. Seems suspicious to me. Cardiologist says it is not the meds.I am not overweight (5'6"-128lb),walk two to three miles daily and eat a well-balanced diet .It is discouraging to now be dealing with this on top of the heart issue. Having an ablation in two weeks.Hoping I can get off of most meds 3 months down the line.Just curious if anyone else can relate.Thank you all for being here .

Interested in more discussions like this? Go to the Heart Rhythm Conditions Support Group.

What might help is to eat small meals. If you check your blood sugar an hour or two after eating go for a 15 minute walk to help your leg muscles get the sugar out of your blood. Also try to limit carbs from bread, rice, noodles, etc. When you do eat carbs eat some fat and protein with the carb. And eat less carbs before bed and in the morning because of the dawn phenomenon that people who do have diabetes many times have so as to keep the blood sugar in the morning lower.

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>My pharmacist said Jardiance could be causing my high glucose and A1C readings.

That's just what Jardiance is supposed to prevent, and I don't know why you're on it in the first place, your A1C at 6.8 does not really justify it.

More than likely it is the metoprolol, beta blocker, that caused your modest rise in A1C.

It is best countered by learning to "count carbs" and switch to a healthier diet. Many doctors assume people can't be bothered and won't stop eating mass quantities of Twinkies and french fries, but that's pretty much what it takes.

>Cardiologist says it is not the meds.
LOL. Cardiologist should spend five minutes with Google or ChatGPT.

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Profile picture for carbcounter @carbcounter

>My pharmacist said Jardiance could be causing my high glucose and A1C readings.

That's just what Jardiance is supposed to prevent, and I don't know why you're on it in the first place, your A1C at 6.8 does not really justify it.

More than likely it is the metoprolol, beta blocker, that caused your modest rise in A1C.

It is best countered by learning to "count carbs" and switch to a healthier diet. Many doctors assume people can't be bothered and won't stop eating mass quantities of Twinkies and french fries, but that's pretty much what it takes.

>Cardiologist says it is not the meds.
LOL. Cardiologist should spend five minutes with Google or ChatGPT.

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@carbcounter Thanks for your response .It is still confusing .Prior to Jardiance my A1C was 6.1-6.3.It had never been as high as 6.8.From what I've read 6.8 is considered diabetes.

I am on a healthy diet ( have been for decades).

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Thanks-waiting for the next one in 2 months.

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Profile picture for packh1 @packh1

@carbcounter Thanks for your response .It is still confusing .Prior to Jardiance my A1C was 6.1-6.3.It had never been as high as 6.8.From what I've read 6.8 is considered diabetes.

I am on a healthy diet ( have been for decades).

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@packh1
You're on a healthy diet, but have you learned to count carbs?
Often you can keep to you diet with little change and just smaller portions and your A1C will fall dramatically with no drugs at all.

But I guess doctors are right, I often meet people with diabetes who have never even been advised to watch their diets, they get drugged up.

But the cause of your A1C is metoprolol*, not Jardiance.
This is clear as the sun rising in the east.

*And diet, and age, and lack of exercise, etc, but metoprolol is the "proximal cause".

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Profile picture for Sue, Volunteer Mentor @sueinmn

@packh1 You may be a medical anomaly. I have not taken these meds, but have experienced new, worrisome changes in my body when my health or medications changed, so I can relate.

I did some research and learned that the increase in blood glucose and A1-C while on these 3 meds is not usual. Jardiance is actually used to lower blood glucose in Type II diabetes, and metoprolol has a known propensity for slightly lowering it too. Only spironolactone is ever reported to SLIGHTLY increase fasting blood glucose levels. So I would say your cardiologist's dismissal of the drugs as a cause is normal, but you are still left to deal with it!

Perhaps whatever health incident pushed you into VTACH and put you on this path also affected your metabolism and pushed you from pre-diabetic to Type II? Maybe you need to talk to your GP about next steps?

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@sueinmn I have done experience with predicates and full blown Type 2. Stress can certainly increase A1c. Do you also take finger stick readings? If so, you might look for patterns during the day to see if you can connect any rises to any anything. But J agree with with Celia16. A conversation with your GO and/or an endocrinologist might give you better info and comfort.

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